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OMB Control No: 2125-0683	ICR Reference No: 202403-2125-006
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOT/FHWA	Agency Tracking No:
Title: Request for Federal Aid Reimbursement Eligibility of Safety Hardware Devices
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/23/2024
	Date Received in OIRA: 07/19/2024
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	200	0	0
Cost Burden (Dollars)	0	0	0

Abstract: The FHWA issues Federal-aid eligibility letters as a service to State and local agencies. If an interested party (submitter) wants a Federal-aid reimbursement eligibility letter, then it must submit a request with the required information to FHWA for review. The information collection is completely voluntary. It’s not required for anyone to respond. The collected information will be FWHA records and is subject to the Freedom of Information Act, 5 U.S.C. Â§ 552. The collection is voluntary for the submitters, so there is no targeted collection frequency. A FHWA Federal-aid reimbursement eligibility letter will be sent electronically to the submitter in PDF format when it’s issued. Federal-aid reimbursement eligibility letters are also posted on the FHWA Eligibility Web site. An eligibility letter package includes the submittal form, crash test summary sheets and hardware drawings as attachments to the letter. The information collected is necessary for FHWA to analyze whether the roadside safety hardware meets criteria set by the American Association of State Highway and Transportation Officials in their “Manual on Assessing Safety Hardware.” When the FHWA issues an eligibility letter, if the attached files (hardware drawings and the crash test summaries) do not conform to Section 508 standards, FHWA will only post the eligibility letter on the agency's web site without the non-conformant attachments. An electronic document with a copy of the letter and the non-conformant attachments will be sent to the requestor for posting on its public web site; if the attached files (hardware drawings and crash test summaries) conform to Section 508 standards, FHWA will post the eligibility letter with the files on the agency's web site FHWA Eligibility Web site.

Authorizing Statute(s): US Code: 5 USC 552 Name of Law: Freedom of Information Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 20529	02/12/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 58873	07/19/2024
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Federal-Aid Eligibility Letter Request

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	50	50
Annual Time Burden (Hours)	200	200
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

Annual Cost to Federal Government: $91,466

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Aimee Zhang 202 366-2826 aimee.zhang@dot.gov

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